News
All community and independent pharmacies in the Optum Rx network are transitioning to cost-based contracts.
On Jan. 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the Interoperability and Prior Authorization final rule.
Among a number of moves at Humana, former Amazon VP of Healthcare Aaron Martin will become president of Medicare Advantage.
Leaders are counting on genAI for financial improvement, but many health systems have yet to adopt it for RCM, report says.
The bill touts lowering ACA premiums through an old route, cost-sharing reduction payments for insurers.
M&A landscape will regain strength as organizations improve in quality and leverage technology to attract buyers, PwC says.
AIwithCare features a software platform that uses generative AI to screen patients for clinical trial eligibility.
Forecast is for deeper AI penetration in 2026 enabled by momentum in workflow integration and governance.
Non-labor expense increases of 6% to 10% over the past year were driven in part by tariffs, says Kaufman Hall report.
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December 15, 2025
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December 15, 2025
Finding the right third-party financing partner can help practices thrive in the face of rising costs.